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Home My Public Portal About9224 PENTLAND ST_Electrical__ 76A"3 OBB3A 11-SD APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRIC COUNTY OFF LOS LOS ANGELES WILLIAM J FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. QROUP ZONE h PERMIT NO. ELECTRICIAN R. F- W Ito't RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N. AC&ola St FIRST INSPECTION CITY San Gab. nn TEL NO AT 68583 Q 11'-2-3'S1 COUNTY LICENSE NO 1104 EXPIRES BUILDING DDRES9224 Pentland St. PERMIT FEES NUMBER EACH FEE LOCALITY Temple Git LIGHT OUTLETS NEAREST CROSS ST RECEPTACLES WALL SWITCHES OWNER B• E. Turner TOTAL OUTLETS sc 0 MAIL ELEC RANGES 25 ADDRESS lf: ELEC HEATERS 2s CITY TEL NO FIXTURES s I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS War; APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOU NuneeR HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE New Mvo H outs INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/ a Ices $ 2s SIGNATURE OF ,�'r I✓�jy� I/ 2 s0 PERMITTEE 2 a IOP INSPECTION RECORD B 15 1 s0 1S SO 250 _ sp z0a 9 OO _ 200 62112 10 OO J 500 1000 is 00 Z OVER 1000 2000 MG SET/FREQ CHANGER-HP WELDERS AC-KVA O ~ GENERATORS - KW TRANSFORMERS - KVA TEMP MOTORS (75% of Rio) MOVED MOTORS (75% of oRlo) MIBC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT DATE INSPECTOR'S NAME WIRING $1 00 CONDUIT FIXTURES $1 pp WIRING i a SUPPLEMENTARY 512 FIXTURES 7 POWER TOTAL FEE ® /� UT1uTYCO NOTIFIED ' I FINAL ) r 7SAEE3 CEEOB T!! APPLICATION FOR ELECTRIC PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engmeer BUILDING County of Los Angela! ADORES, JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN Sup T on BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS T NUMBER OWNER e7 to. LIGHT OUTLETS MAIL �r ADDRE59 �! RECEPTACLES �� WALL SW ITCHES FEE CITY TEL NOG 1jrz TOTAL OUTLETS 0 5e s ELECTRIC/AN ELEC RANGES 28 ADDRESS ELEC HEATERS 25 CITY TEL NO KW EA STATE FIXTURES 5 LICENSE NO MOTORS DISTRICT NO GROUP Z NE I READY FOR INFECTION HUMBER HORSEPOWER FEE NEW MVO HP OVER INC EACH 1/2 LESS IS 2e INSPECTION RECORD �t 2 50 2 3 100 ^^fIQI^ o TD 1 50 15 50 2 EO 90 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING PERMIT $1 00 FIXTURE PERMIT $100 ` SUPPLEMENTARY 50 APPROVALS TOTAL FEE I, s DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pOVVER CALIFORNIA OR THAT 1 AY T/IE L L OWNER OF THE BOVE DESCRIBED RESIDENT] RO /p TY UTILITY CO NOTIFIED SIGNATURE i OF PERMITTE E FINAL50300M / JOHN LAMBIE VALIDATPH. AliTHUFfIC VE.- COUNTY ENGINEER CK MO eH SUPERVISING ELECTRICAL ENGINEER 548ED, MINR27 2 2.30 In WORKER SCOMPENSATION DECLARATION 211001SDPW(1291) APPLICATION FOR ELECTRICAL PERMIT Ll OABE3 I hereby affirm that I have a certificate o/ consent to Bell Insure or aNerhbcete of Worker s Compensation Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy theracf,(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL IN AMDBORESS p� E Y 16nified copy is hereby furnished New Residential Bldgs d Pools NO EACH FEE LOCALITY E ❑ �Comhed copy M filed with the county building Inspection 1 8 2 Family Sq Ft — 6 $ /" LE CIT department , .• Multifamily Sol A CNE4REES ROSS Si /J / Date* �11 Applicant Residential Swimming Pools ASSESSOR v J _v y• _ MAP BOOK ,/ PAGE PARCEL ,Tuq, CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Ree —Light Sw F MEtJRAOME QAL, L� • din., COMPENSATION INSURANCE (This Bectlonineed not be�completad It the work Involved by the First 20 _ • J 1 MAIL ,1 permit is for one hundred dollars(5100)or leve) Total No Additional Air ADORE9690ypC {.. I certify that in theperformance of the work for which this permit x , CITY _ •' Tel Is Issued I shall not employ any person in any manner so as to r l ECK become subject to the Workers Compensation Laws ( Lighting Fixtures First 20 APPUCA b Total No Additional ADDRESS Date - ^ Applicant• 1 ' " RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If alter making this Certificate o/ CITY - � Tel No '- Exemption you should,become subject to the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions,of the Labor Code you must forthwith conisuch PERMIT provisions or this permit shell be deemedlrevoked Power Apparatus 8 Large Appliances APPLICANT .11 11 LICENSED CONTRACTORS DECLARATION i Size 8 Type HP KW KVA or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl(commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code and my license is in lull force and effect Over 10 to 50 Ind - - LICENSE OR �� d Over 50 to 100 Incl REG NUMBER Over 100 DISTRICT NO66ED BY O License Number Llc Class (� Services Swbd YQC_d P ern Iboertly I O Contractor Dete 0 3B Under OA1E O ❑ I am exempt under Sec 400 1000 Amp Under fi00 V r ~ Over 1000 Amp or Over 600 V FINAL Over W B 8P C for this reasonBRANCH CIRCUIT FEES BY � Date 15A or 20A 120V LIghbng or Recept r _ Z 1 To 10 Branch Circuits If _ - Signature - 11 To 40 Branch Circuits ❑ 41 0 More Branch Circulis Exemption for Re4 Mamt Elect 15A 20A 208V To 27N U an Br Circuits + _ SINGLE FAMILY Temp Power Pole B Appurtenances --- - -- HOME OWNER BUILDER DECLARATION A _ th One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law Sign wi - _ - - --- - 3303 for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Casa'/ a I es owner of the property will do the work and the structure t Mlsc Conduits 8 Conductors ° TOTAL * c Is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) _ -- L�1CC and Professions Code) _ - , ___Lfl�CfhI,��-~ t CONSTRUCTION LENDING AGENCY 1 —C HM(–)E— •21I 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3087 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE LeiMers Name 0729- --T-' AM 7:d2 PERMIT ISSUING FEE Lender s Address I certify that I have read this application and under penalty of purjury,state TOTAL FEE that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wring and hereby authorize representatives of this County to enter upon the above mentioned property - - - far action pun�� 7 4- 9 SEE REVERSE FOR EXPLANATORY LANGUAGE 07/t SIGNATURE OF PERMITTE ATE